MEDICARE: NAGLE RX INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1265917157
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NAGLE RX INC

Provider Business Mailing Address
First Line	:	146 NAGLE AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10040-1437
Country	:	US
Telephone Number	:	212-304-0649
Fax Number	:	212-304-2959

Provider Business Practice Location Address
First Line	:	146 NAGLE AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10040-1437
Country	:	US
Telephone Number	:	212-304-0649
Fax Number	:	212-304-2959

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ARNALDO J GONZALEZ PARRA
Credential	:
Telephone Number	:	212-304-0649

Provider Enumeration Date	:	09/26/2018
Last Update Date	:	09/26/2018

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Directions to “NAGLE RX INC ” Practice Location

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